The selectivity of microbial inhibitors of acylCoA : cholesterol acyltransferase (ACAT) toward the two isozymes, ACAT1 and ACAT2, was assessed in cell-based assays. Purpactin A (IC 50 values of ACAT1 vs. IC 50 values of ACAT2; 2.5 mM vs. 1.5 mM), terpendole C (10 mM vs. 2.0 mM), C (32 mM vs. 0.36 mM) and D (38 mM vs. 1.5 mM) showed selective inhibition against ACAT2. In particular, pyripyropene A was found to be the most selective ACAT2 inhibitor with a selective index of more than 1,000.Keywords acyl-CoA : cholesterol acyltransferase, isozyme, microbial inhibitors, lipid droplet accumulation, pyripyropene, beauveriolide, atherosclerosis Introduction Acyl-CoA : cholesterol acyltransferase (ACAT), an ER membrane protein, is responsible for many functions in the body. ACAT has been recognized as a target for inhibition by a new type of antiatherosclerotic agents [1]. Many pharmaceutical laboratories have developed synthetic ACAT inhibitors. However, almost none of them could be successfully developed because of side effects or low in vivo efficacy [2]. Recent molecular biological studies revealed the existence in mammals of two different ACAT isozymes, ACAT1 and ACAT2 [3ϳ6]. ACAT1 is ubiquitously expressed in tissues and cells, while ACAT2 is expressed predominantly in the liver (hepatocytes) and intestine [7]. Therefore, it is important to determine the selectivity of inhibitors toward the two ACAT isozymes for their development as new antiatherosclerotic agents [8]. However, such data have rarely been reported so far [9,10].Our research group discovered a number of microbial ACAT inhibitors with an enzyme assay using rat liver microsomes; these inhibitors included pyripyropenes [11ϳ13], purpactins [14,15], glisoprenins [16ϳ18] and terpendoles [19ϳ21] (Fig. 1). The activities of these inhibitors in cell-based assays and their selectivity toward the two ACAT isozymes have not been fully studied. We also developed a cell-based assay of lipid droplet accumulation in mouse macrophages, and discovered beauveriolides [22ϳ25], phenochalasins [26,27], spylidone [28], sespendole [29] and K97-0239s [30] with this assay (Fig. 2). We studied the molecular targets of beauveriolides I and III in macrophages and found that they inhibited cholesteryl ester (CE) synthesis by blocking ACAT activity in macrophages, leading to the inhibition of lipid droplet accumulation. More importantly, they proved orally active in atherogenic mouse models and are expected to provide [31,32]. However, the molecular targets of the other inhibitors are not yet well defined, and their effect on ACAT activity as a potential target should be studied.Thus, we studied microbial inhibitors discovered by screening against ACAT ( Fig. 1) and lipid droplet accumulation ( Fig. 2) by examining their inhibitory activity against ACAT1 and ACAT2 isozymes, and their selectivity toward the isozymes. For the examination, two cell lines, CHO cells expressing African Green monkey ACAT1 (ACAT1-CHO) and ACAT2 (ACAT2-CHO) were used [9]. was purchased from Per...